<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <script src="./js/sethtmlfontSize.js"></script>
    <link rel="stylesheet" href="./css/common.css">
    <link rel="stylesheet" href="./css/fill-apply.css">
    <title>填写申请</title>
</head>
<body>
    <header></header>
    <hr class="hr-line">
    <section class="sec-name">
        <lable>姓名</lable>
        <input type="text" class="apply-name" id="apply-name">
    </section>
    <hr class="hr-line" class="bg33">
    <section class="sec-tel-area">
        <table class="tb-tel-area">
            <tr class="tr-tel trs"><td class="td-l">联系电话</td><td class="border-bot"><input type="text"></td></tr>
            <tr class="tr-area trs">
                <td class="td-l">负责区域</td>
                <td class="border-bot">
<input type="text" placeholder="&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;省/直辖市/自治区"></td>
            </tr>
            <tr>
                <td></td>
                <td  class="border-bot"> <input type="text" placeholder="&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;市"></td>
            </tr>
            <tr>
                <td></td>
                <td  class="border-bot"><input type="text" placeholder="&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;区/县"></td>
            </tr>

        </table>
    </section>
    <hr class="hr-line">
    <section class="sec-remark">
        <lable>备注:</lable>
        <textarea></textarea>
    </section>
    
    <hr class="hr-db-line">
    <div class="submit-btn bgff5d">提交</div>
</body>
</html>